Women in Anaesthesia Part 2 | Ramani Moonsinghe
Release Date: 03/08/2020
"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, regular exercise and mental stimulation, we should certainly think about providing the same support to our geriatric patients." What does the latest research say about this vital issue? How is frailty defined? What's the clinical impact of preoperative cognitive dysfunction? Presented by Angela Bader, MD, MPH Professor of Anesthesia at Harvard Medical School and Vice Chair for Perioperative Medicine in the Department of Anesthesiology, Perioperative...info_outline Methadone use in Perioperative Medicine | EBPOM Chicago
This talk examines the rationale for using methadone in our surgical patient population, reviews clinical trials that assess the effect of intraoperative methadone on post operative outcomes and discusses some unanswered questions related to the administration of this long acting opioid in the perioperative period. Presented by Glenn Murphy, Jeffery S. Vender Chair of Anesthesiology Research and Education and Director of Cardiac Anesthesia and Clinical Research at NorthShore University HealthSystem, a hospital affiliated with the University of Chicago Pritzker School of Medicine. For more on...info_outline The Future of Prehabilitation "Standardisation of definitions and outcomes" | EBPOM 2020 London
"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and well conducted randomized control trials determine effectiveness to an unbiased comparison of outcomes, events, or endpoints between intervention groups". If data is destiny it is to this that we must look if we want to understand what the future may hold for prehabilitation. This piece takes a pragmatic approach toward the task of ensuring information and datasets are widely applicable, as free from bias as possible and ultimately standardised by...info_outline Getting "fit for surgery" | EBPOM 2020 London
"In this session, we're going to talk about the importance of fitness, frailty, function and perioperative medicine." Fitness, frailty and function are overlapping concepts. In the UK, about quarter of patients will be over the age of 65 by 2034. As patients age they may develop comorbidities. These factors combine to present a unique opportunity for the perioperative physician; fitness increases the chances of a positive outcome, time to ensure every patient is "fit for surgery". The Making Every Contact Count (MECC) campaign is here: Presented by Denny Levett, Professor in Perioperative...info_outline Functional Assesment | EBPOM London 2020
"Perhaps assessing functional performance is something that we've overlooked in medicine" This piece is about the role of functional assessment and status in perioperative medicine. The Duke Activity Status Index (DASI) can be found here: The Mini Cog assessment is here: The video resources mentioned in the piece are here: Presented by Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society.info_outline Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery without having a nutrition assessment done" This piece is presented in two parts; this is part 2. Using perioperative nutrition to optimize our patients outcomes; data shows us that nutrition therapy or nutrition optimization is literally life saving. Anyone who uses evidence as their guide know it has to be part of their practice. Enhanced Recovery After surgery, sometimes called "fast track surgery" is about ensuring we apply the best information we...info_outline Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery without having a nutrition assessment done" This piece is presented in two parts; this is part 1. Using perioperative nutrition to optimize our patients outcomes; data shows us that nutrition therapy or nutrition optimization is literally life saving. Anyone who uses evidence as their guide know it has to be part of their practice. Enhanced Recovery After surgery, sometimes called "fast track surgery" is about ensuring we apply the best information we...info_outline Models of Prehabilitation in Greater Manchester | EBPOM 2020 London
It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative period produces long term difficulties which are compounded by the acute stresses produced during and immediately after a procedure. This talk covers three main areas; surgical care for patients in Greater Manchester, "ERAS+"; prehabilitation for cancer, for the population of Greater Manchester; how Manchester has supported patients during the time of COVID19. This piece is mentioned in the introduction and serves as a useful compliment to the talk,...info_outline Perioperative team: a surgeon’s view | EBPOM London 2020
This piece looks at some of the advantages to having a perioperative interdisciplinary team reducing complications, understanding and discussing risk, facilitating better shared decision making and increased patient satisfaction, even among those who - as part of this process - decide not to go ahead with an operation. It also incorporates evidence regarding what we know about COVID-19; "The risks ... of the COVID-19 virus is that if people contract it during or after their surgery, they have a much worse result with perhaps 51% pulmonary complications or 24% mortality". The World Health...info_outline Introduction to the Pathophysiology of COVID 19 | Dingle 2020
This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a number of outstanding questions. This piece attempts to answer those questions; where does it come from, what do we know about it now, what would we like to know about it in the future? Why is the disease more pronounced in men, how come obesity seems to be a factor, what's the mechanism which leaves children less at risk than adults and senior citizens? This piece is a standout part of Evidence Based Perioperative Medicine's (EBPOM) Dingle 2020...info_outline
Learn here about The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS).
Is anxiety the worst thing about an operation? How common a problem for patients is feeling thirsty? What about pain, how do we best manage it?
In the second part of the piece we a focus on "Women in Anaesthesia"; Is there an 'opportunity gap'? How do we correct imbalances in the profession? Most importantly, how do we avoid "tokenism"?
Is there room for a 'name and shame' strategy if we attend a meeting where there is a clear lack of gender balance or is that likely to be unhelpful?
Check out the Athena SWAN (Scientific Women's Academic Network) charter here: https://www.ecu.ac.uk/equality-charters/athena-swan/
The edition of the BJA which has inspired this series is here:
This piece was originally recorded live at the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy.
Presented by Desiree Chappell with Monty Mythen and Ramani Moonesinghe, Professor of Perioperative Medicine at University College London (UCL).